Individual
RONNI SHALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
130 E 77TH ST FL 3, NEW YORK, NY 10075-1851
(516) 382-3840
Mailing address
245 E 63RD ST APT 627, NEW YORK, NY 10065-7422
(516) 382-3840
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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